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NHS’s plan to abolish CCGs must not dilute primary care’s influence, say leaders

BMJ 2020; 371 doi: https://doi.org/10.1136/bmj.m4730 (Published 03 December 2020) Cite this as: BMJ 2020;371:m4730
  1. Gareth Iacobucci
  1. The BMJ

NHS England has proposed abolishing clinical commissioning groups (CCGs) by April 2022 and moving their functions to statutory integrated care systems.

A document outlining NHS England’s legislative recommendations proposes that integrated care systems become “a statutory corporate NHS body . . . that additionally brings CCG statutory functions into the ICS.”1

Until now, NHS England has avoided recommending a wholesale NHS reorganisation to achieve its vision for integration. But it said that the covid-19 pandemic had “increased the appetite for statutory clarity for [integrated care systems] and the organisations within them.”

Abolishing CCGs is one of two options proposed—the other is a less radical move to create “a statutory committee model . . . that binds together current statutory organisations.” But NHS England indicated that its preference was to make …

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